| NPI | 1417480955 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MI 4301514625) | 
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MN 77720) | 
| Enumeration Date | 2017-04-11 | 
| Last Update Date | 2025-08-22 |